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An ADAC Mittelrhein e.V. Sportabteilung Viktoriastra e 15 56068 Koblenz Germany Fax: +49 (0) 261 / 1303 299 Mail: Kristina. Greater Mr.ADAC.DE Class: Startnummer: Rhesusfaktor: Blutgruppe: Penned:
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Start by writing the street address or post office box number on the first line.
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On the third line, write the city name "Koblenz."
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